Provider Demographics
NPI:1649740929
Name:KLUGER, MONTY (DC)
Entity Type:Individual
Prefix:DR
First Name:MONTY
Middle Name:
Last Name:KLUGER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8350 HICKMAN RD STE 4
Mailing Address - Street 2:
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325-4311
Mailing Address - Country:US
Mailing Address - Phone:515-204-4923
Mailing Address - Fax:
Practice Address - Street 1:8350 HICKMAN RD STE 4
Practice Address - Street 2:
Practice Address - City:CLIVE
Practice Address - State:IA
Practice Address - Zip Code:50325-4311
Practice Address - Country:US
Practice Address - Phone:515-204-4923
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-29
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA085854111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor